NOTIFICATION OF ESTABLISHMENT
OF MILITARY COVER BACKSTOP

TEM ORARTLE POR —__ __ DAYS, _ EFFEOTIVE

SUBMIT FORM {0b FOR ‘ANY ‘CHANGE AFFECTING THIS COVER.
(8 240-250) .°

‘SUBMIT FORM 1323 | FOR TRANSFERRING COVER RESPONSIBILITY.
(R 240. 250) : 7 .

[mares

{j pd

((__]ecory to cep/or

" CRIEF, MILITARY,

1-ADPD/ COMPT .

FORM uuee
7-62 1551 oesoLere “eneyioua Ebr


